CENTRAL JAVA 2X1000 MW CFPP PROJECT Doc No : RFI-SSP/MES-CIP/16/07-035 Date: July 26,2016 REQUEST FOR INSPECTION MES Mr. K Tanaka Central Java Project IGentlement, We would like to have your presence on commencement work according to the following schedules Data & Time Place / Area Work Iter Remark 27-Jul-16 Lowland Power Block Visual Check Prior Backfill : ‘area (b2, d6, 45) (layer 2nd) (follow drawing attached ) Result Reinspection Required \& [comments = Not abe 40 lspeckon becaure of rain MES] SUMITOMO. Print Name , DUEL Signature Ait:CENTRAL JAVA 2x1000 MW CFPP PROJECT Date Ql - C.0.03 Doe. No. Page Jrssrmce censors of ‘Subject : VISUAL CHECK PRIOR BACKFILL Project No. : 1607-SD Project Central Java Location Client MES Reference Drawing er ORE Che ae aT svat eheccpnbr Goce Carel Lager No. ITEM TO CHECK RESULT DATE & SIGN YES__ NA 1 |Cutting Grass, accepted v 2 [Quality of cleaning before backfill, accepted uv 3 [Quality of backfil material, accepted Remarks PT. SSP MES PrintName | KURaiA -H Fer sealre Qn - Herctont- [pate 28 /%6/ lo t/a] >u &Frose FIELD INSPECTION REPORT (CENTRAL JAVA 21000 MW INSPECTION TYPE keavat ELEVATION B2 LAYER! |sreet LC Prick GACKEteL _cAYER, nd) __Joate Report No =85P-5VY ap jul ie | REF. DWG. No. Feanvares EA ‘Accepiance/ Criteria + [Reto ie GROSS HAAR ELEVATION = — HE ‘Deviation BACK FORE ACTUAL _|__ DESIGN |_| 9.900 4395 | toss et |_| + ope | do} 1 | | 4 2940 | 2 | = 4 *qyo | 6 | 4 4.2940 | 16 s 4 2740 | “fo | | 6 + Sere |_ + joie da ae 3 4 | £ pe ee = Ey i au + [| Z + hAG0 7 iA a ESAT [Sketch = 367587. (6 ‘Y= 9236932 7H xe 37592. 1 Ye D368 be2 Prepared & checked by PT. SSP E nan Oe Feast, SURV E TOR@. . FIELD INSPECTION REPORT CENTRAL JAVA 2x1000 MW. ‘'ssP INSPECTION TYPE: [Report No. = S9SV¥ eevarion 62 Laem L. — |sneet CiRiok RAckricl AYE 2ad ) Date ‘A uli te REF. DWG. No: Recepiance/ Criteria * Icamerccreo: 62 AREA - ae Zz CROSS HAAIR: ELEVATION ss Deviation | REMARKS BACK FORE Pear a joer 6 \mo | | te | | lee [al “1095 _| | @ ae an “1030 | 9 1030, finessed by PT.MES-JO luna: Afen tong “04 [rer Festi: Gr ere estan: SUPE HORF. . FIELD INSPECTION REPORT CENTRAL JAVA 2x1000 MW ‘ssP REPECHONPET pcuAL CLeATION De,05 Laven t [fem poy Crete packer LATER 209) Date oy jai ‘oie REF. DW/G. No Iamcawsrecten: DG, DC ARYA Feceptance/Criteria. (Reto. ) No. {GROSS HAIR ELEVATION Bs apoes | +2068 jt +4 W300 2 + tae | 3 + (400 z a + \3900 _$ + 190 | 36 | + 1300 | 3 + 308 ie +300 3 _+ 1300 is +. 1300 +6 41300 4B eee x= 367998 904_ Ye omy7109, $29 [Winessed bY Pewowea by PrT.ME: Prepared & checked by PT. SSP. none SUN ART leita: SURVEVOR lane: Leper _!¥/a/ 1b postion: GLC. Crvf -